| Med Therapy & Spa, Inc. | |
|
7241 Sw 63rd Ave Ste 201 South Miami FL 33143-4838 | |
| (305) 859-0099 | |
| (305) 422-1299 |
| Full Name | Med Therapy & Spa, Inc. |
|---|---|
| Speciality | Physical Therapist |
| Location | 7241 Sw 63rd Ave Ste 201, South Miami, Florida |
| Authorized Official Name and Position | Robert Sardina (OWNER) |
| Authorized Official Contact | 3058590099 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Med Therapy & Spa, Inc. 7241 Sw 63rd Ave Ste 201 South Miami FL 33143-4838 Ph: (305) 859-0099 | Med Therapy & Spa, Inc. 7241 Sw 63rd Ave Ste 201 South Miami FL 33143-4838 Ph: (305) 859-0099 |
| NPI Number | 1093297384 |
|---|---|
| Provider Enumeration Date | 09/03/2018 |
| Last Update Date | 02/08/2025 |
| Medicare PECOS PAC ID | 2365776697 |
|---|---|
| Medicare Enrollment ID | O20190620001282 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093297384 | NPI | - | NPPES |
| Provider Name | Horacio Jorge Rodriguez-jimenez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427156421 PECOS PAC ID: 0749257475 Enrollment ID: I20040915000869 |
| Provider Name | Eduardo Rodriguez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417146176 PECOS PAC ID: 7517056104 Enrollment ID: I20071205000016 |
| Provider Name | Libert Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326496555 PECOS PAC ID: 3971632415 Enrollment ID: I20160927002459 |
| Provider Name | Ubaldo A Miranda |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1366916231 PECOS PAC ID: 4183817919 Enrollment ID: I20201013002334 |
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